H.R. 20House110th Congress (2007-2009)Passed House

Melanie Blocker-Stokes Postpartum Depression Research and Care Act

Introduced January 4, 2007

Legislative Activity

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18 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

October 16, 2007

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HouseIntro Referral

Introduced in House

January 4, 2007

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

January 4, 2007

HouseCommittee

Referred to the Subcommittee on Health.

February 2, 2007

HouseCommittee

Subcommittee Hearings Held.

May 1, 2007

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

July 19, 2007

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

July 19, 2007

HouseCommittee

Committee Consideration and Mark-up Session Held.

September 27, 2007

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

September 27, 2007

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 110-375.

October 15, 2007

HouseCalendars

Placed on the Union Calendar, Calendar No. 232.

October 15, 2007

HouseFloor

Ms. Baldwin moved to suspend the rules and pass the bill, as amended.

October 15, 2007 • 4:02 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H11511-11513)

October 15, 2007 • 4:02 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 20.

October 15, 2007 • 4:02 PM

HouseFloor

At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

October 15, 2007 • 4:15 PM

HouseFloor

Considered as unfinished business. (consideration: CR H11532-11533)

October 15, 2007 • 7:03 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 382 - 3 (Roll no. 963).(text: CR H11511-11512)

October 15, 2007 • 7:10 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 382 - 3 (Roll no. 963). (text: CR H11511-11512)

October 15, 2007 • 7:10 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

October 15, 2007 • 7:10 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

October 16, 2007

Floor Debate

18 members

What members said about H.R. 20 on the floor

5 Republicans13 Democrats
Adam Smith
Rep. Adam SmithD-WA-9 · Dec 19, 2007

Madam. Speaker, due to events in my district, I was unable to vote on rollcall No. 42: Passage of H. Res. 475. Had I been present, I would have voted ``yes.'' January 22, 2007 Madam Speaker, due to…

Lamar Alexander
Sen. Lamar AlexanderR-TN · Feb 8, 2007

Mr. President, I wish to speak about a casualty of the budget process. It is a very disheartening development, and I hope it is an oversight, not the first symbol of the new Democratic Congress's…

Max Baucus
Sen. Max BaucusD-MT · Feb 27, 2008

Mr. President, I ask unanimous consent that the Committee on Armed Services be authorized to meet during the session of the Senate on Wednesday, February 27, 2008, at 9:30 a.m., in open session, and…

Bobby L. Rush
Rep. Bobby L. RushD-IL-1 · Oct 15, 2007

Madam Speaker, I want to thank the gentlelady from Wisconsin for yielding me this time on this very important matter. Madam Speaker, I rise today in strong support of H.R. 20, the Melanie…

Robert Menendez
Sen. Robert MenendezD-NJ · Mar 5, 2008

Mr. President, I ask unanimous consent that the Committee on Armed Services be authorized to meet during the session of the Senate on Wednesday, March 5, 2008, at 9:30 a.m., in open session, In order…

Show 8 more
Kent Conrad
Sen. Kent ConradD-ND · Mar 13, 2008

Mr. President, I ask unanimous consent that the Committee on Commerce, Science, and Transportation be authorized to meet during the session of the Senate on Thursday, March 13, 2008, at 10 a.m., in…

Byron L. Dorgan
Sen. Byron L. DorganD-ND · Feb 14, 2008

Mr. President, I ask unanimous consent that the Committee on Armed Services be authorized to meet during the session of the Senate on Thursday, February 14, 2008, at 11:10 a.m. in open session, in…

Tammy Baldwin
Rep. Tammy BaldwinD-WI-2 · Oct 15, 2007

Madam Speaker, I move to suspend the rules and pass the bill (H.R. 20) to provide for research on, and services for individuals with, postpartum depression and psychosis, as amended. Madam Speaker, I…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Feb 8, 2007

Mr. President, I ask unanimous consent to speak as in morning business. Mr. President, I say to my colleague from Tennessee, whose interest in education is well recognized, I couldn't agree with him…

Laura Richardson
Rep. Laura RichardsonD-CA-37 · Oct 15, 2007

Madam Speaker, I rise today to support H.R. 20, the Melanie Blocker-Stokes Postpartum Depression Research and Care Act. Postpartum depression is a serious mental health problem that can have…

Vito Fossella
Rep. Vito FossellaR-NY-13 · Oct 15, 2007

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I rise today in support of H.R. 20, the Melanie Blocker-Stokes Postpartum Depression Research and Care Act, and join my…

Timothy V. Johnson
Rep. Timothy V. JohnsonR-IL-15 · Oct 16, 2007

Madam Speaker, unfortunately yesterday, October 15, 2007, I was unable to cast my votes on H. Res. 738, H.R. 2089, and H.R. 20 and wish the Record to reflect my intentions had I been able to vote.…

John B. Larson
Rep. John B. LarsonD-CT-1 · Oct 15, 2007

Madam Speaker, I would like to submit this statement for the Record and regret that I was not present to vote on rollcall vote Nos. 961, 962, and 963. Had I been present, I would have voted: ``Yea''…

Show 5 more
Elijah E. Cummings
Rep. Elijah E. CummingsD-MD-7 · Oct 16, 2007

Madam Speaker, on October 15, 2007, due to obligations in the district, I missed the following recorded votes: Roll No. 961, on H. Res. 738, expressing the sense of the House of Representatives…

Linda T. Sánchez
Rep. Linda T. SánchezD-CA-39 · Oct 16, 2007

Unfortunately, I was unable to be present in the Capitol on Monday, October 15, 2007, and was unable to cast votes on the House floor that evening. However, had I been present I would have voted…

Mark L. Pryor
Sen. Mark L. PryorD-AR · Mar 5, 2008

Mr. President, I ask unanimous consent that Bruce Fergusson, a fellow in the office of Senator Baucus, be granted the privilege of the floor during consideration of the Consumer Product Safety…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Mar 5, 2008

Mr. President, I ask unanimous consent that a fellow from my office, Gemma Weiblinger, be granted the privileges of the floor for this speech and the budget presentation next week.

K. Michael Conaway
Rep. K. Michael ConawayR-TX-11 · Oct 17, 2007

Madam Speaker, on rollcall No. 963, H.R. 20--Melanie Blocker-Stokes Postpartum Depression Research and Care Act. Had I been present, I would have voted ``yea.''

Bill Text

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Referred in SenateIssued October 16, 2007

IIB

110th CONGRESS

1st Session

H. R. 20

IN THE SENATE OF THE UNITED STATES

October 16, 2007

Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions

AN ACT

To provide for research on, and services for individuals with, postpartum depression and psychosis.

1.

Short title

This Act may be cited as the Melanie Blocker-Stokes Postpartum Depression Research and Care Act.

2.

Findings

The Congress finds as follows:

(1)

Postpartum depression is a devastating mood disorder which strikes many women during and after pregnancy.

(2)

Postpartum mood changes are common and can be broken into three subgroups: baby blues, which is an extremely common and the less severe form of postpartum depression; postpartum mood and anxiety disorders, which are more severe than baby blues and can occur during pregnancy and anytime within the first year of the infant’s birth; and postpartum psychosis, which is the most extreme form of postpartum depression and can occur during pregnancy and up to 12 months after delivery.

(3)

Baby blues is characterized by mood swings, feelings of being overwhelmed, tearfulness, irritability, poor sleep, mood changes, and a sense of vulnerability.

(4)

The symptoms of postpartum mood and anxiety disorders are the worsening and the continuation of the baby blues beyond the first days or weeks after delivery.

(5)

The symptoms of postpartum psychosis include losing touch with reality, distorted thinking, delusions, auditory hallucinations, paranoia, hyperactivity, and rapid speech or mania.

(6)

Each year over 400,000 women suffer from postpartum mood changes, with baby blues afflicting up to 80 percent of new mothers; postpartum mood and anxiety disorders impairing around 10 to 20 percent of new mothers; and postpartum psychosis striking 1 in 1,000 new mothers.

(7)

Postpartum depression is a treatable disorder if promptly diagnosed by a trained provider and attended to with a personalized regimen of care including social support, therapy, medication, and when necessary hospitalization.

(8)

All too often postpartum depression goes undiagnosed or untreated due to the social stigma surrounding depression and mental illness, the myth of motherhood, the new mother’s inability to self-diagnose her condition, the new mother’s shame or embarrassment over discussing her depression so near to the birth of her child, the lack of understanding in society and the medical community of the complexity of postpartum depression, and economic pressures placed on hospitals and providers.

(9)

Untreated, postpartum depression can lead to further depression, substance abuse, loss of employment, divorce and further social alienation, self-destructive behavior, or even suicide.

(10)

Untreated, postpartum depression impacts society through its effect on the infant’s physical and psychological development, child abuse, neglect, or death of the infant or other siblings, and the disruption of the family.

I

Research on postpartum depression and psychosis

101.

Expansion and intensification of activities

(a)

In General

The Secretary of Health and Human Services, acting through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health (in this title referred to as the Institute), is encouraged to continue aggressive work on postpartum depression and postpartum psychosis.

(b)

Coordination With Other Institutes

The Director of the Institute should continue to coordinate activities of the Director under subsection (a) with similar activities conducted by the other national research institutes and agencies of the National Institutes of Health to the extent that such Institutes and agencies have responsibilities that are related to postpartum conditions.

(c)

Programs for Postpartum Conditions

In carrying out subsection (a), the Director of the Institute is encouraged to continue research to expand the understanding of the causes of, and to find a cure for, postpartum conditions. Activities under such subsection shall include conducting and supporting the following:

(1)

Basic research concerning the etiology and causes of the conditions.

(2)

Epidemiological studies to address the frequency and natural history of the conditions and the differences among racial and ethnic groups with respect to the conditions.

(3)

The development of improved screening and diagnostic techniques.

(4)

Clinical research for the development and evaluation of new treatments, including new biological agents.

(5)

Information and education programs for health care professionals and the public.

102.

National public awareness campaign

(a)

In general

The Director of the National Institutes of Health and the Administrator of the Health Resources and Services Administration are encouraged to carry out a coordinated national campaign to increase the awareness and knowledge of postpartum depression and postpartum psychosis.

(b)

Public service announcements

Activities under the national campaign under subsection (a) may include public service announcements through television, radio, and other means.

103.

Biennial reporting

Section 403(a)(5) of the Public Health Service Act (42 U.S.C. 283(a)(5)) is amended—

(1)

by redesignating subparagraph (L) as subparagraph (M); and

(2)

by inserting after subparagraph (K) the following:

(L)

Depression.

.

104.

Longitudinal study of relative mental health consequences for women of resolving a pregnancy

(a)

Sense of Congress

It is the sense of Congress that the Director of the Institute may conduct a nationally representative longitudinal study (during the period of fiscal years 2008 through 2018) of the relative mental health consequences for women of resolving a pregnancy (intended and unintended) in various ways, including carrying the pregnancy to term and parenting the child, carrying the pregnancy to term and placing the child for adoption, miscarriage, and having an abortion. This study may assess the incidence, timing, magnitude, and duration of the immediate and long-term mental health consequences (positive or negative) of these pregnancy outcomes.

(b)

Report

Beginning not later than 3 years after the date of the enactment of this Act, and periodically thereafter for the duration of the study under subsection (a), the Director of the Institute should prepare and submit to the Congress reports on the findings of the study.

II

Delivery of services regarding postpartum depression and psychosis

201.

Establishment of program of grants

(a)

In General

The Secretary of Health and Human Services (in this title referred to as the Secretary) should in accordance with this title make grants to provide for projects for the establishment, operation, and coordination of effective and cost-efficient systems for the delivery of essential services to individuals with postpartum depression or postpartum psychosis (referred to in this section as a postpartum condition) and their families.

(b)

Recipients of Grants

A grant under subsection (a) may be made to an entity only if the entity is a public or nonprofit private entity, which may include a State or local government; a public or nonprofit private hospital, community-based organization, hospice, ambulatory care facility, community health center, migrant health center, or homeless health center; or any other appropriate public or nonprofit private entity.

(c)

Certain Activities

To the extent practicable and appropriate, the Secretary shall ensure that projects under subsection (a) provide services for the diagnosis and management of postpartum conditions. Activities that the Secretary may authorize for such projects may also include the following:

(1)

Delivering or enhancing outpatient and home-based health and support services, including case management, screening, and comprehensive treatment services for individuals with or at risk for postpartum conditions; and delivering or enhancing support services for their families.

(2)

Delivering or enhancing inpatient care management services that ensure the well-being of the mother and family and the future development of the infant.

(3)

Improving the quality, availability, and organization of health care and support services (including transportation services, attendant care, homemaker services, day or respite care, and providing counseling on financial assistance and insurance) for individuals with postpartum conditions and support services for their families.

(d)

Integration With Other Programs

To the extent practicable and appropriate, the Secretary should integrate the program under this title with other grant programs carried out by the Secretary, including the program under section 330 of the Public Health Service Act.

202.

Certain requirements

A grant may be made under section 201 only if the applicant involved makes the following agreements:

(1)

Not more than 5 percent of the grant will be used for administration, accounting, reporting, and program oversight functions.

(2)

The grant will be used to supplement and not supplant funds from other sources related to the treatment of postpartum conditions.

(3)

The applicant will abide by any limitations deemed appropriate by the Secretary on any charges to individuals receiving services pursuant to the grant. As deemed appropriate by the Secretary, such limitations on charges may vary based on the financial circumstances of the individual receiving services.

(4)

The grant will not be expended to make payment for services authorized under section 201(a) to the extent that payment has been made, or can reasonably be expected to be made, with respect to such services—

(A)

under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or

(B)

by an entity that provides health services on a prepaid basis.

(5)

The applicant will, at each site at which the applicant provides services under section 201(a), post a conspicuous notice informing individuals who receive the services of any Federal policies that apply to the applicant with respect to the imposition of charges on such individuals.

203.

Technical assistance

The Secretary may provide technical assistance to assist entities in complying with the requirements of this title in order to make such entities eligible to receive grants under section 201.

III

General provisions

301.

Authorization of appropriations

To carry out this Act and the amendments made by this Act, there are authorized to be appropriated—

(1)

$3,000,000 for fiscal year 2008; and

(2)

such sums as may be necessary for fiscal years 2009 and 2010.

Passed the House of Representatives October 15, 2007.

Lorraine C. Miller,

Clerk